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Re: sleep apnea in 3 yr old male

Posted by Greg Harper on April 17, 1998 at 18:29:12:

In Reply to: sleep apnea in 3 yr old male posted by Deanna on April 17, 1998 at 15:38:05:

Deanna:

At a MINIMUM, your child should be on oxygen at night and when he naps...ASAP! If he/she has not done so already, ask your doctor about getting it set up through a medical equipment company. He or his office staff will know who to contact.

Even if your child drops to an O2SAT of 90% he should be put on oxygen. Children have a metabolic rate that is much higher than adults so even small decreases in oxygen levels are significant. Supplemental oxygen might not adequately treat the problem, but for now it would certainly give your son a "cushion" until proper treatment could be started.

Also, there is a possibility that the low O2Sat is the result of "artifact". That is, your son was moving around during the recording and the oximeter could not pick-up a good signal. With this situation the oximeter could read-out at an artifically low level.

Also, something does not sound right about a "nap" study. I must admit that I do not know what your pulmonary physician has in mind. Your son has some serious airway problems that a daytime "nap" study might not address.

A word of advice (from personal experience)...your son should be seeing a physician who specializes in pediatric sleep medicine.

Please let me know if I can be of further assistance.

Sincerely,

Greg Harper, RRT, RCP
Respiratory Care Practitioner

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